| Bridge Of Empowerment,llc | |
| 651 East Wilmington Street Maxton NC 28364 | |
| (910) 318-3946 | |
| Not Available | 
| Full Name | Bridge Of Empowerment,llc | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 651 East Wilmington Street, Maxton, North Carolina | 
| Authorized Official Name and Position | Deborah Faye Ingram (PRESIDENT) | 
| Authorized Official Contact | 9103183946 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bridge Of Empowerment,llc 675 Nc Highway 71 N Maxton NC 28364-8741 Ph: (910) 318-3946 | Bridge Of Empowerment,llc 651 East Wilmington Street Maxton NC 28364 Ph: (910) 318-3946 | 
| NPI Number | 1659647766 | 
|---|---|
| Provider Enumeration Date | 03/23/2012 | 
| Last Update Date | 03/23/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659647766 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary | 
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